Squires, Jennifer Ballard

Squires, Jennifer Ballard is an individual health care provider with primary practice located at 8613 Route 29 # 200N , Fairfax VA 22031-2171. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Squires, Jennifer Ballard can be contacted via phone (571) 350-8400.

Contact Information

Primary practice address
8613 Route 29 # 200N Fairfax VA 22031-2171
Phone: (571) 350-8400
Fax: (703) 280-9596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 669572 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AC000572 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000121124 Virginia

Profile Details

NPI number 1306880588
LBN Legal business name Squires, Jennifer Ballard
Credentials APRN, BC (NURSEPRACT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Apr 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306880588 NPPES
Virginia Other 0024169800 NURSE PRACTITIONER LICENSE
Virginia Other 16322 NURSE PRACTITIONER LICENSE
Virginia Other 669572 NURSE PRACTITIONER LICENSE
Virginia Other AC000572 NURSE PRACTITIONER LICENSE
Virginia Other 0001211124 NURSE PRACTITIONER LICENSE

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